| NPI | 1053167734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEEDS DEMARTINO HARRISON President 954-873-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-08-14 |